Perry B. Sheidayi, D.O., Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7800 Issued in CA

Legal business name

PERRY B. SHEIDAYI, D.O., PROFESSIONAL CORPORATION

Practice address

18 Endeavor Ste 201
Irvine, CA 92618-3181

Phone

(949) 650-5771

Fax

(949) 340-3967

NPI assigned

Aug 31, 2006

Last updated

Feb 18, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Perry Behrooz Sheidayi, D.O.NPI 1508823519

Title

President

Phone

(949) 650-5771

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Perry Behrooz Sheidayi, D.O.

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1508823519
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1477665875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 201",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183181",
            "telephone_number": "949-650-5771",
            "fax_number": "949-340-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 201",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183181",
            "telephone_number": "949-650-5771",
            "fax_number": "949-340-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY B. SHEIDAYI, D.O., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "SHEIDAYI",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "BEHROOZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-650-5771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "W17052",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX78000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Perez
• Perforce Medical Supplies, Inc.
• Nicholas James Perkins, PT, DPT
• Susannah Perkins, LCSW
• Andrea Pernas
• Perry DO DDS Ms Corp
• Perry Medical Group of California
• Autumn Lesslie Redette Perry, PT, DPT
• Emma Perry
• Esther Marie Perry

• Family Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.